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MR. ADAM SIEDLECKI
NPI 1457931834
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Active since April 10, 2021PECOS EnrolledAccepts Medicare Assignment
462 GRIDER ST, BUFFALO, NY 14215(716) 898-3941(716) 898-3279 Get Directions Write a Review

NPPES record last updated: April 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Adam Siedlecki NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ADAM SIEDLECKI (NPI 1457931834) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1457931834
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. ADAM SIEDLECKI
Location Address462 GRIDER STBuffalo, NY 14215-3021
Mailing Address462 Grider StBuffalo, NY 14215-3021 · (716) 898-3941 · Fax (716) 898-3279
Phone(716) 898-3941
Fax(716) 898-3279
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 10, 2021
NPPES CertifiedApril 10, 2021
✔ NPI 1457931834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
462 GRIDER ST, Buffalo, NY 14215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Adam Siedlecki is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022519974
PECOS Enrollment IDI20250902000229
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Adam Siedlecki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Andrew J. Siedlecki, M.D., PC
5.1 mi
Ophthalmology
170 MAPLE RD
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
NPI 1689884488 (716) 634-8500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. V. THOMAS CHAPIN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
DR. JOHN JACOB HANNIBAL IV M.D.
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-4226
HMB PHARMACY MANAGEMENT LLC
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Erie County (716) 332-2866
SARAH MARIE THOMPSON PA-C
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 698-5375
MATTHEW GARRETT ALBEN DO
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-5053
DANNY ISSAM BELMONA MD
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
MR. KENNETH L DZIALAK COTA
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3575
MS. ZENA SONDRA HYMAN NP
Nurse Practitioner (Adult Health)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Siedlecki's NPI number?

The NPI number for Adam Siedlecki is 1457931834. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Where is Adam Siedlecki located?

Adam Siedlecki practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 898-3941.

What is Adam Siedlecki's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Adam Siedlecki enrolled in Medicare?

Yes. Adam Siedlecki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Adam Siedlecki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Siedlecki reassigns Medicare benefits to Andrew J. Siedlecki, M.D., PC (Williamsville, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Siedlecki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adam Siedlecki was last updated on April 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.